Diercks, Connie I

Diercks, Connie I is an individual health care provider with primary practice located at 555 Cedar St , Saint Paul MN 55101-2209. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Diercks, Connie I can be contacted via phone (651) 266-1255.

Contact Information

Primary practice address
555 Cedar St Saint Paul MN 55101-2209
Phone: (651) 266-1255
Fax: (651) 266-1350
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X CNM0216 Minnesota

Profile Details

NPI number 1548221575
LBN Legal business name Diercks, Connie I
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2006
Last updated Mar 27th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1548221575 NPPES
Minnesota MEDICAID 339540500

Popular Providers